Individual provider Active NPI

Jessica D Koffler, LCPC

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1184217952
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-45311 Issued in MT
Practice address
600 Central Ave Ste 12
Great Falls, MT 59401-3141
Phone
(406) 217-0890
NPI assigned
Feb 12, 2021
Last updated
Aug 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BBH-LCPC-LIC-45311 MT
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-45311 MT Primary

Addresses

Primary practice location

600 Central Ave Ste 12
Great Falls, MT 59401-3141

Mailing address

600 6TH St NW Ste 9
Great Falls, MT 59404-2449
Phone (406) 771-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000876 MT Practitioner - Mental Health Counselor 1254844848 Practice locations: Great Falls, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Central Ave
Suite 12
Great Falls, MT 59401-3141
Phone (406) 217-0890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-45311MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Warriors Mental Health Counseling and Consultation, LLC Mental Health CurrentSince Mar 20, 2025 Accepting new patients
Aware Inc PastSince Nov 3, 2012 Accepting new patients

Locations

600 Central Ave
Ste 12
Great Falls, MT 59401
Phone (406) 217-0890

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1184217952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 6TH ST NW STE 9",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042449",
            "telephone_number": "406-771-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 12",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-217-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFLER",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "BBH-LCPC-LIC-45311",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-45311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.